Courtney Gansho, OTR/L

NPI #1851934921 in South Holland, Illinois

Provider Information

NPI Number: 1851934921
Entity Type: Individual
Name: Courtney Gansho, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Oct 22, 2019
Last Updated: Oct 22, 2019

Practice Location

Address: 350 W 154TH ST
City: South Holland
State: Illinois
ZIP Code: 60473-1229
Phone: (708) 333-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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